Navigation Links
Home health visits greatly lower readmissions for heart surgery patients
Date:5/1/2014

MANHASSET, NY A study from North Shore University Hospital's (NSUH) cardiothoracic surgery department demonstrated a very significant reduction in hospital readmissions after coronary artery bypass graft (CABG) surgery. This study is featured in the May 2014 issue of The Annals of Thoracic Surgery, the North Shore-LIJ Health System announced today.

The CABG patients who did not receive home health care through the Follow Your Heart program were three times more likely to either be readmitted to the hospital or pass away, the study found. The 30-day readmission rate for patients receiving the typical care after this surgery was 11.54 percent, while those receiving home health care had a readmission rate of 3.85 percent.

A total of 401 patients participated in the study with 169 receiving cardiac surgery nurse practitioner (NP) home visits and 232 receiving usual care following CABG. In Follow Your Heart, a cardiac surgery NP, who helped care for the patient in the hospital, visited the patient at home twice within the first 14 days after discharge. The NPs provided directed physical exams, medication management and served as the communications hub for the patients and all pertinent care providers, including community resources such as family practitioners and cardiologists. The NPs are equipped with encrypted smart phones to provide email reports to care providers and send pictures back to the surgeon for advice about wound care if needed.

Having this continuity of care from a cardiac surgery NP greatly impacted the patients at home. The NPs provided more directed management for the patients and ensured that patients were following appropriate, updated instructions, according to Michael Hall, MD, division chief of adult cardiac surgery at NSUH. In addition, communication with community providers helped prepare them for the handoff of the specific patient after the first two weeks. This greatly prevented adverse consequences including readmission with added cost savings.

"We found that patients sometimes were not obtaining new medications because of cost issues, taking old medications with the mistaken belief that they were just as good, and failing to see community physicians because of lack of transportation, among many other things," Dr. Hall said. "All patients have specific needs that need to be individualized after discharge. We found that most problems could be solved by our nurse practitioners, who already knew the patients, once they were in the home."


'/>"/>

Contact: Alexandra Zendrian
azendrian@nshs.edu
516-465-2607
North Shore-Long Island Jewish (LIJ) Health System
Source:Eurekalert

Related medicine news :

1. Implementation science can create a workforce equipped for new health care environment
2. Extreme sleep durations may affect brain health in later life
3. Surgeons and health care settings influence type of breast cancer surgery women undergo
4. New health system scorecard shows little progress among states from 2007-2012
5. A risk management framework improves health systems resilience to high-impact weather
6. The latest in scientific research in childrens health to be presented in Vancouver
7. CWRU researchers profile womens employment, caregiving workloads, effort and health
8. NIH center sets new goals for global health research and training
9. New high-detail atlas offers tool to explore local environment and health
10. Inaugural Brain Health Summit focuses on brain resilience and regeneration
11. Clinics not bogged down by red tape can ease health cost burdens
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... , ... June 27, 2016 , ... Quality metrics are ... in many ways they remain in the eye of the beholder, according to experts ... publication of The American Journal of Managed Care. For the full issue, click ...
(Date:6/26/2016)... Viejo, California (PRWEB) , ... June 26, 2016 , ... ... Final Cut Pro X. , "Film editors can give their videos a whole new ... said Christina Austin - CEO of Pixel Film Studios. , ProSlice Levels contains ...
(Date:6/26/2016)... Charlotte, NC (PRWEB) , ... June 26, 2016 , ... Brent Kasmer, a legally blind ... able to be personalized through a fitness app. The fitness app plans to fix the ... solutions currently only offer a one size fits all type program , They ...
(Date:6/25/2016)... ... 2016 , ... Experts from the American Institutes for Research ... June 26-28, 2016, at the Hynes Convention Center in Boston. , AIR experts ... planning, healthcare costs and patient and family engagement. , AIR researchers will be ...
(Date:6/25/2016)... , ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on ... Observer , brings up a new, often overlooked aspect of head lice: the parasite’s ability ... fumigation is not a common occurrence, but a necessary one in the event that lice ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016 Research and Markets has announced ... Diagnostic Tests" report to their offering. ... The World Market for Companion Diagnostics covers ... Market analysis in the report includes the following: ... Diagnostic Kits) by Region (N. America, EU, ROW), 2015-2020 ...
(Date:6/24/2016)... Tenn. , June 24, 2016  Arkis ... providing less invasive and more durable cerebrospinal fluid ... in funding.  The Series-A funding is led by ... Lighthouse Fund, and other private investors.  Arkis, new ... neurosurgical instrumentation and the market release of its ...
(Date:6/23/2016)... Research and Markets has announced ... Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality ... - Global Forecast to 2021" report to their ... global pharmaceutical excipients market is projected to reach USD ... in the forecast period 2016 to 2021. ...
Breaking Medicine Technology: